# KATHRYN MIRIAM KOTHARI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417390063
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | DR.0056771 | CO | — |
| 208000000X | Pediatrics Physician | DR0056771 | CO | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | S9333 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 04/14/2013
- **Last updated:** 05/28/2025
